483 professional coder jobs found

What we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in. Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus: 100% paid medical premiums for our full-time employees Generous time off (holidays, preventative leave day, both vacation and sick time - all of which equates to around 37-38 days per year) The longer you stay, the more vacation you'll accrue! Longevity Pay (Monthly payments after two years of service) Build your future with our awesome retirement/pension plan! We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as... Free financial and...

Description ***Must reside in Texas, Georgia, Mississippi, Montana, North Carolina, Oklahoma, or Wisconsin*** Job purpose The certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient’s medical history, diagnosis, tests and treatment plan. Duties and responsibilities Primarily codes from final office visit, surgical/procedural operative reports signed by providers Reviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelines Verifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claims Enters patient copayment information into the EMR Reconciles charges against the schedule list to ensure no charges are missed Investigates rejected claims to see why denials were issued as necessary Re-bills rejected claims in timely...

What we do here changes the world. UTHealth Houston is Texas’ resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That’s where you come in. UTHealth is hiring for a Professional Coder I to join their team of professionals in Revenue Cycle - Charging Code and Capture. The Certified Coder will be responsible for coding Emergency Medicine and resolving edits. Cardio, Emergency, and Gastro coding experience and familiarity with Epic are a plus! Department: Revenue Cycle Status: Full-time Location: Remote (2 weeks onsite for training @ 1851 Crosspoint Ave, 77054) Must live in Texas and can attend required onsite trainings and meetings. We do not provide lodging or mileage reimbursement for onsite trainings or meetings Once you join us you won't want to leave. It’s because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you’d expect from a top healthcare organization...

Job TitleExperienced CPC-Certified Medical CoderJob DescriptionMUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES.We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments.Responsibilities• Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS)• Conduct utilization reviews to assess medical necessity and documentation compliance• Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases• Analyze medical records for payer disputes, recoupments, and appeals• Prepare detailed, defensible written audit reports• Provide expert review, affidavit support,...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: • Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) • Conduct utilization reviews to assess medical necessity and documentation compliance • Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases • Analyze medical records for payer disputes, recoupments, and appeals • Prepare detailed, defensible written audit reports • Provide expert review, affidavit support, deposition preparation, and testimony when...

MUST ALREADY HAVE EXPERIENCE DOING BILL AUDIT REVIEWS FOR DIFFERENT STATES. We are seeking an experienced CPC-certified medical coder with multi-state experience to perform coding audits, utilization reviews, demand package reviews, and provide litigation support including deposition and testimony services as needed. The ideal candidate must have experience reviewing medical records and billing across multiple states and payer environments. Responsibilities: Perform comprehensive medical coding audits (ICD-10-CM, CPT, HCPCS) Conduct utilization reviews to assess medical necessity and documentation compliance Review the medical portion and prepare the billing and coding review portion of demand package reviews for personal injury and insurance cases Analyze medical records for payer disputes, recoupments, and appeals Prepare detailed, defensible written audit reports Provide expert review, affidavit support, deposition preparation, and testimony when required Interpret CMS...

Conduct comprehensive medical record reviews to ensure billing is consistent with medical records Provide detailed written summaries of medical record review findings Articulate findings to investigators, Medicaid plan leadership, law enforcement, legal counsel, providers and state regulators Review and discuss cases with Medical Directors to validate decisions Assist with investigative research related to coding questions, state and federal policies Identify potential billing errors, abuse and fraud Identify opportunities for savings related to potential prepayment review cases Maintain appropriate records, files and documentation Travel for meetings and potentially testify Requirements AAPC Coding certification — Certified Professional Coder (CPC) 3+ years of experience in medical coding or documentation auditing Strong knowledge of CPT, HCPCS, Revenue Codes, CMS 1500 and UB04 data elements Experience researching coding, state regulations and policies Working experience with...

Analyze patient charts, physician notes and discharge summaries Ensure documentation is complete and accurate before coding Translate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses) CPT (procedures) HCPCS (supplies/services) Make sure codes correctly represent services provided Follow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company Policies Prevent coding errors that could lead to claim denials or audits Stay updated on coding changes and updates Work with billing teams to submit coded claims to insurance companies Verify claim accuracy to ensure proper reimbursement Fix rejected or denied claims by reviewing and correcting codes Communicate with healthcare providers and insurance companies Protect sensitive patient information Follow strict privacy and data security standards Clarify documentation with physicians when needed Collaborate with billing and administrative teams Regularly update knowledge...

Medical Coding SpecialistKey Responsibilities:Analyze patient charts, physician notes and discharge summariesEnsure documentation is complete and accurate before codingTranslate diagnoses and procedures into standardized codes using: ICD-10-CM (diagnoses)CPT (procedures)HCPCS (supplies/services)Make sure codes correctly represent services providedFollow healthcare laws and regulations (HIPAA, Medicare/Medicaid guidelines) Company PoliciesPrevent coding errors that could lead to claim denials or auditsStay updated on coding changes and updatesWork with billing teams to submit coded claims to insurance companiesVerify claim accuracy to ensure proper reimbursementFix rejected or denied claims by reviewing and correcting codesCommunicate with healthcare providers and insurance companiesProtect sensitive patient informationFollow strict privacy and data security standardsClarify documentation with physicians when neededCollaborate with billing and administrative teamsRegularly update...

Certified Medical CoderThe certified coder prepares and submits clean claims to insurance companies electronically and by paper, and provides appropriate coding for each patient's medical history, diagnosis, tests and treatment plan.Duties and responsibilitiesPrimarily codes from final office visit, surgical/procedural operative reports signed by providersReviews medical records and accurately code primary and secondary diagnoses using CPT, ICD-9 and ICD-10 conventions; sequence the diagnoses and procedures using coding guidelinesVerifies accuracy and submits claims to insurance using Electronic Medical Records systems and paper claimsEnters patient copayment information into the EMRReconciles charges against the schedule list to ensure no charges are missedInvestigates rejected claims to see why denials were issued as necessaryRe-bills rejected claims in timely mannerMaintains strict confidentiality and high degree of accuracyConsults classification manuals and relies on knowledge...

Professional Coder IIWhat we do here changes the world. UTHealth Houston is Texas' resource for healthcare education, innovation, scientific discovery, and excellence in patient care. That's where you come in.Once you join us you won't want to leave. It's because we reward our team for the excellent service they provide. Our total rewards package includes the benefits you'd expect from a top healthcare organization (benefits, insurance, etc.), plus:100% paid medical premiums for our full-time employeesGenerous time off (holidays, preventative leave day, both vacation and sick time – all of which equates to around 37-38 days per year)The longer you stay, the more vacation you'll accrue!Longevity Pay (Monthly payments after two years of service)Build your future with our awesome retirement/pension plan!We take care of our employees! As a world-renowned institution, our employees' wellbeing is important to us. We offer work/life services such as...Free financial and legal...

Jobtailor is seeking an experienced Medical Coding Auditor to conduct comprehensive medical record reviews and ensure billing accuracy. You will craft detailed written summaries and present findings to investigators, leadership, counsel, providers, and regulators. Role requires reviewing cases with Medical Directors, researching coding policies, and potentially testifying. Travel for meetings is expected, and strong Excel skills are essential. #J-18808-Ljbffr

Clinics Coding Manager – Health Information Management (HIM) Job Location: Hospital - Uvalde, TX 78801 Job Shift: Day Location: Uvalde Memorial Hospital Job Type: Full-Time (In-Person) Make a Difference Every Day At Uvalde Memorial Hospital, accurate health information plays a vital role in delivering quality care and ensuring the integrity of our healthcare operations. We are looking for an experienced Ambulatory Coding Manager who is passionate about leadership, compliance, and supporting the vital work behind the scenes of patient care. In this role, you will lead and support our coding team, ensuring medical records are coded accurately, efficiently, and in compliance with industry standards and regulations. You will work closely with physicians, billing teams, and hospital leadership to maintain coding quality, improve processes, and strengthen revenue cycle performance. This is more than a job — it’s an opportunity to guide a talented team, strengthen healthcare documentation...

Medical Coding Professional 2 Humana's Primary Care Organization is a leading senior-focused, value-based care provider with 400+ centers across 15 states under the CenterWell and Conviva brands. As an IPA Consultative Coder, you will collaborate with a multidisciplinary team to support the delivery of high-quality, cost-effective care in the communities we serve. In this role, you will work closely with providers and clinic teams to enhance documentation accuracy, identify opportunities for improvement, and reinforce coding and documentation best practices. This is a hybrid position that requires occasional travel within the assigned market. Responsibilities: Deliver coding and documentation education to providers and clinic staff within IPA clinics. Be a consultative resource and ongoing support for providers in assigned clinics. Conduct documentation audits to identify gaps, trends, and opportunities for improvement. Perform quarterly chart reviews to support coding...

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...

Medical Dental Coder Harlingen Annex - Harlingen, TX 78550 Description This position is vital in the health care delivery system in function with the fiscal aspect of the Clinic. Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. Bills and submits claims to insurances/programs through AthenaOne EMR, follows up on claims statuses, resolves claim denials, submits appeals, post payments and adjustments, and manages collections. Great customer service and telephone etiquette, computer knowledge, professional appearance, attention to detail, able to multitask and work in a fast paced environment. Ability to work well under stress and maintain calm under pressure and work well with team members and willingness to cross-train. Functions as a member of a collaborative health care team to create and maintain a patient centered medical home. Essential Job Functions Communication: Communicates with outside...

Medical Records Coder - (Certification) CCS, RHIT, CIC, CPC | Palms Behavioral Health | Harlingen, Texas About the Job: PURPOSE STATEMENT: The Medial Records Coder is responsible for assigning ICD-10-PCS diagnostic and procedural codes to patient accounts codes and abstracts hospital medical records for maintenance of disease indices, internal and external reporting, research, compliance with federal, state and other regulatory agencies, and for billing and reimbursement. Uses various coding manuals and computer encoder. Confirms appropriate DRG assignments. Safeguards and preserves the confidentiality of patient identifiable information in accordance with hospital and department policy. Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors. Roles and Responsibilities: ESSENTIAL FUNCTIONS: Assigns appropriate codes using...

DaMar Staffing is seeking a Coder I for RMF Revenue Cycle in Edinburg, TX. The role analyzes patient records, assigns ICD-10-CM, CPT, and APC codes, and conducts audits to ensure billing compliance and accuracy. You will interact with physicians, support denials review, and maintain productivity and confidentiality in a fast-paced hospital setting. A high school diploma is required; RHIT or coding certification is preferred, with English proficiency essential. #J-18808-Ljbffr

DHR Health in Edinburg, TX, is seeking a Medical Coding Specialist in Health Information Management. Under general supervision, you will analyze patient records, assign ICD-10-CM diagnoses and CPT procedures, and ensure coding aligns with federal guidelines. You will interact with physicians on billing policies, audit charts for compliance, and provide second-level reviews of codes to assure accurate claims and revenue integrity. #J-18808-Ljbffr

Coder I, RMF Revenue Cycle - 21322US:TX:Edinburg | HEALTH INFORMATION MANAGEMENT | Full Time Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time. Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence. Under general supervision, analyzes patient medical records to assure that documentation by providers conforms to legal and procedural requirements. Assigns specified codes to medical diagnoses and/or clinical procedures. Interacts with physicians and other providers regarding billing and documentation policies and procedures. Audits medical charts and records for compliance with federal coding regulations and guidelines. Provides a second level review of codes assigned to medical diagnoses and clinical procedures, ensuring that...

Job Opportunity At Memorial HermannAt Memorial Hermann, we pursue a common goal of delivering high quality, efficient care while creating exceptional experiences for every member of our community. When we say every member of our community, that includes our employees. We know that when our employees feel cared for, heard and valued, they are inspired to create moments that exceed expectations, while prioritizing safety, compassion, personalization and efficiency. If you want to advance your career and contribute to our vision of creating healthier communities, now and for generations to come, we want you to be a part of our team. Job Description Responsible for providing accurate, reliable and effective education to physicians and extenders regarding outpatient procedural and diagnosis coding. This position performs individual and group documentation reviews, identifies opportunities for improvement, assists with implementation of physician lead CME documentation and coding...

Outpatient Coder | Remote Contract Opportunity Location: Remote (US Based candidates only) Pay $30 - $40 per hour/ based on experience Position Type: long term contract (W2 position) CSI Companies is hiring an experienced Outpatient Coder for a fully remote contract opportunity. The Outpatient Coder will be responsible for accurately assigning ICD-10-CM and CPT codes for outpatient diagnoses and procedures. This includes emergency department visits, outpatient observation services, provider encounters, diagnostic testing, and ambulatory surgery procedures.The ideal candidate will have strong outpatient coding experience, excellent attention to detail, and the ability to review clinical documentation and diagnostic results for coding accuracy and completeness. This position requires maintaining a coding accuracy rate of 95% or higher while supporting timely billing and helping reduce coding-related denials.The Outpatient Coder will also collaborate with clinical, billing, and...

Job Summary: The Coder/Abstractor, CCA works with assigned coding mentor to accurately codes, sequences and abstracts inpatient, outpatient, and emergency department records according to ICD-10-CM and CPT coding guidelines. Minimum Job Requirements: Work Experience: One year of inpatient or outpatient coding preferred. License/Registration/Certification: Certified Coding Associate (CCA) required. Certified Coding Specialist required to be obtained within 12 months of hire. Education and Training: High School diploma or equivalent. Associate\'s degree in related field preferred. Skills: Knowledge of Health Information Systems practices, procedures, and guidelines. Ability to analyze and solve problems. Ability to seek out new methods and principles to improve services. Ability to utilize verbal and written communication skills effectively.

We are seeking a detail-oriented and experienced Medical Billing Specialist with a strong background in medical billing, coding, and insurance processes. The ideal candidate will be skilled in medical terminology, procedure coding, cost estimation, insurance appeals, and working within electronic health record systems. This role requires accuracy, excellent communication skills, and the ability to work with both patients and payers to ensure timely and correct reimbursement. This position may offer the opportunity to work from home, depending on experience and performance. Key Responsibilities: Accurately process and submit medical claims to insurance companies, government payers, and other third-party organizations. Perform medical coding using ICD-10, CPT, and HCPCS standards for a variety of procedures and diagnoses. Generate and communicate cost estimates for procedures based on insurance coverage and contract agreements. Review and verify accuracy of billing data within...